Provider Demographics
NPI:1891409678
Name:SAFE GUARD HOME CARE
Entity Type:Organization
Organization Name:SAFE GUARD HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:PASCAL
Authorized Official - Middle Name:DOMINIQUE
Authorized Official - Last Name:MANSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-515-4728
Mailing Address - Street 1:16425 HARBOR BLVD # M190
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-1367
Mailing Address - Country:US
Mailing Address - Phone:951-515-4728
Mailing Address - Fax:
Practice Address - Street 1:16425 HARBOR BLVD # M190
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-1367
Practice Address - Country:US
Practice Address - Phone:951-515-4728
Practice Address - Fax:951-515-4728
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAFE GUARD HOME CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care